How to know if you are going blind. 9 Vision Loss Symptoms: Early Warning Signs of Blindness and When to Seek Help
What are the key vision loss symptoms that could indicate serious eye problems. How can you differentiate between minor eye issues and potential signs of blindness. When should you seek immediate medical attention for vision changes.
Understanding Vision Loss: Prevalence and Prevention
Vision loss is a global health concern affecting millions of people. According to the World Health Organization (WHO), approximately 250 million individuals worldwide experience visual impairment. Alarmingly, up to 80% of these cases could have been prevented with timely intervention and proper eye care.
Regular eye examinations play a crucial role in early detection and prevention of vision problems. Even before noticeable symptoms appear, routine check-ups can help diagnose progressive eye conditions like glaucoma, which often presents minimal symptoms in its early stages.
Floaters, Gray Shadows, and Flashing Lights: Potential Signs of Retinal Detachment
While occasional floaters are generally harmless, a sudden increase in their number, accompanied by gray shadows or flashing lights in your vision, may indicate a serious condition known as retinal detachment.
What is retinal detachment?
Retinal detachment occurs when the layer of nerves at the back of the eye separates from its normal position. This layer is responsible for transmitting visual information to the brain, and its detachment can lead to vision loss if not treated promptly.
Risk factors for retinal detachment
- Blunt trauma to the eye
- Diabetes
- Severe nearsightedness
If you experience these symptoms, seek immediate medical attention. Retinal detachment typically requires surgical intervention, and prompt treatment is essential to prevent permanent vision loss.
Eye Pain: When Discomfort Becomes a Concern
While many eye conditions are painless, certain situations can cause significant discomfort. Eye pain, especially following an injury or accompanied by vision changes, should never be ignored.
Potential causes of eye pain
- Dry eye syndrome
- Glaucoma
- Eye cancer
- Corneal abrasions
When should you seek medical attention for eye pain? If the pain persists for more than 20 minutes, is accompanied by redness, or occurs after a significant eye injury, consult an eye care professional immediately.
Sudden Vision Loss: A Red Flag for Serious Eye Conditions
Abrupt changes in vision, particularly the loss of sight in one eye, can signal various underlying problems that require immediate medical intervention.
Age-related macular degeneration (AMD)
AMD is the leading cause of vision loss in individuals over 65 in the United States. While symptoms often develop gradually, sudden vision loss can occur when blood vessels leak fluid or blood under the retina, damaging the nerves responsible for sight.
Glaucoma
Certain types of glaucoma can cause rapid fluid buildup in the eye, increasing pressure and potentially damaging the optic nerve. This can lead to sudden vision changes or loss.
Stroke and carotid artery blockage
Vision loss in one eye may indicate a stroke or blockage in the carotid artery, the primary blood supplier to the eyes. A buildup of plaque in this artery can restrict blood flow, potentially causing vision problems.
Blurry Vision: Minor Inconvenience or Serious Concern?
Occasional blurry vision is often a minor issue that resolves on its own. However, persistent or recurring blurriness can be a symptom of more serious eye conditions.
Potential causes of blurry vision
- Age-related macular degeneration
- Glaucoma
- Retinal tears
- Uveitis (inflammation of the middle layer of the eye)
How can you determine if blurry vision is a cause for concern? If the blurriness persists, worsens, or is accompanied by other symptoms such as eye pain or flashing lights, consult an eye care professional for a thorough examination.
Eye Injuries: Assessing Severity and Seeking Treatment
Eye injuries can range from minor irritations to severe trauma that may lead to vision loss. It’s crucial to assess the severity of an eye injury and seek appropriate medical care when necessary.
When to seek immediate medical attention for eye injuries
- Persistent pain lasting more than 20 minutes
- Visible damage to the eye or surrounding area
- Sudden vision changes or loss
- Foreign objects embedded in the eye
How should you care for a minor eye injury at home? For minor irritations, gently flush the eye with clean water or saline solution. Avoid rubbing the eye, and if symptoms persist, consult an eye care professional.
Contact Lens Discomfort: When to Be Concerned
While most contact lens wearers experience no issues, improper use or maintenance can lead to discomfort and potential eye health problems.
Common causes of contact lens discomfort
- Dry eyes
- Allergies
- Improper lens fit
- Contamination or infection
When should contact lens wearers seek professional help? If discomfort persists despite proper cleaning and care, or if you experience redness, pain, or changes in vision, remove the lenses and consult an eye care specialist.
The Importance of Regular Eye Exams and Early Intervention
Regular eye examinations are crucial for maintaining good vision health and detecting potential problems early. Even if you’re not experiencing noticeable symptoms, routine check-ups can help identify and address issues before they become more serious.
Recommended frequency of eye exams
- Children: Annual exams, starting before school age
- Adults (18-60): Every two years, or as recommended by an eye care professional
- Adults (61 and older): Annual exams
How can regular eye exams prevent vision loss? By detecting conditions like glaucoma, diabetic retinopathy, and macular degeneration in their early stages, eye care professionals can implement treatment plans to slow or prevent vision loss.
Risk factors that may necessitate more frequent eye exams
- Family history of eye diseases
- Diabetes
- High blood pressure
- Previous eye injuries or surgeries
If you have any of these risk factors, consult with your eye care professional to determine an appropriate examination schedule.
Understanding and Managing Age-Related Vision Changes
As we age, our eyes naturally undergo changes that can affect our vision. While some of these changes are normal, others may signal the onset of age-related eye conditions.
Common age-related vision changes
- Presbyopia (difficulty focusing on close objects)
- Reduced pupil size
- Decreased tear production
- Increased sensitivity to glare
How can you differentiate between normal age-related changes and potential eye problems? Regular eye exams are key to distinguishing between typical age-related vision changes and more serious conditions that require treatment.
Strategies for maintaining eye health as you age
- Wear sunglasses with UV protection when outdoors
- Maintain a healthy diet rich in vitamins A, C, and E
- Stay physically active to promote good circulation
- Quit smoking or avoid secondhand smoke
- Use proper lighting for reading and close-up tasks
By adopting these habits and staying vigilant about your eye health, you can help preserve your vision and quality of life as you age.
Technological Advancements in Eye Care and Vision Loss Prevention
The field of ophthalmology has seen significant technological advancements in recent years, offering new hope for those at risk of vision loss or already experiencing eye problems.
Innovative diagnostic tools
- Optical Coherence Tomography (OCT)
- Digital Retinal Imaging
- Corneal Topography
How do these advanced diagnostic tools benefit patients? These technologies allow for earlier detection of eye diseases, more accurate diagnoses, and the ability to track changes in eye health over time with greater precision.
Emerging treatments for vision loss
- Gene therapy for inherited retinal diseases
- Stem cell treatments for macular degeneration
- Artificial retinas for certain types of blindness
While many of these treatments are still in development or early stages of use, they offer promising possibilities for preventing and potentially reversing vision loss in the future.
The Connection Between Overall Health and Eye Health
Your eyes are not isolated organs; they are intricately connected to your overall health. Many systemic health conditions can have significant impacts on your vision and eye health.
Health conditions that can affect eye health
- Diabetes
- Hypertension
- Autoimmune disorders
- Thyroid dysfunction
How can managing these conditions help protect your vision? By working with your primary care physician to effectively manage these health issues, you can reduce your risk of developing related eye problems.
Lifestyle factors that impact eye health
- Nutrition: A diet rich in antioxidants, omega-3 fatty acids, and vitamins A, C, and E can support eye health
- Exercise: Regular physical activity promotes good circulation, which benefits eye health
- Sleep: Adequate rest allows your eyes to recover and maintain proper function
- Stress management: Chronic stress can contribute to eye strain and other vision issues
By adopting a holistic approach to health that includes these lifestyle factors, you can help protect your vision and overall well-being.
Addressing the Emotional Impact of Vision Loss
Experiencing vision loss or being diagnosed with a serious eye condition can have significant emotional and psychological effects. It’s important to address these aspects of vision health alongside the physical symptoms.
Common emotional responses to vision loss
- Anxiety
- Depression
- Frustration
- Fear of losing independence
How can individuals cope with the emotional challenges of vision loss? Seeking support from mental health professionals, joining support groups, and learning adaptive techniques can help manage the emotional impact of vision changes.
Resources for those experiencing vision loss
- Low vision rehabilitation services
- Assistive technology training
- Occupational therapy
- Support groups and counseling services
By utilizing these resources, individuals can develop strategies to maintain their quality of life and independence despite vision changes.
The Role of Genetics in Eye Health and Vision Loss
Genetic factors play a significant role in many eye conditions and can influence an individual’s risk of developing certain vision problems. Understanding your genetic predisposition can help inform preventive care and early intervention strategies.
Eye conditions with genetic components
- Glaucoma
- Age-related macular degeneration
- Retinitis pigmentosa
- Color blindness
How can genetic testing benefit individuals at risk for hereditary eye conditions? Genetic testing can help identify increased risk for certain eye diseases, allowing for more targeted screening and earlier intervention if necessary.
Genetic counseling for eye health
Genetic counseling can provide valuable information for individuals with a family history of eye diseases. A genetic counselor can help interpret test results, explain inheritance patterns, and discuss potential implications for family planning.
While genetic factors can increase the risk of certain eye conditions, it’s important to remember that lifestyle choices and regular eye care still play crucial roles in maintaining vision health.
9 Vision Loss Symptoms That Could Be Signs You’re Going Blind
Throughout our lives, we will experience mild vision changes that may be rather inconvenient and even painful but aren’t signs of going blind or other serious vision issues.
Dry eyes and eye strain are common problems that may resolve on their own and don’t mean that we are losing vision.
However, in some cases, flashing lights, eye pain, and even seemingly harmful things like floaters can be signs of more serious problems, signaling that you need a prompt visit to your eye health expert. In those cases, visiting Dr. Steven Stetson and his team of eye care professionals should be your top priority.
That being said, problems like sudden vision changes, losing vision, and eye pain shouldn’t be ignored as they can be signs you’re going blind.
Vision Loss by the Numbers
On a global scale, around 250 million people have to deal with visual impairment, according to the WHO’s (World Health Organization) data. What’s more troubling is the fact that around 80% of these cases could have been prevented if attended timely.
This is why visiting your doctor for eye exams regularly is so crucial. Even before experiencing minor vision changes, checkups can be imperative in diagnosing progressing eye problems like glaucoma. This is a rather common vision problem that only produces a few minor symptoms in its earliest stages.
On the other hand, visiting the doctor should be mandatory in the case of sudden vision changes and eye pain. On that end, here’s a list of symptoms you should ignore because, in some cases, they might be signs you’re going blind.
- Floaters, Gray Shadows in Your Vision, and Flashing Lights
While floaters aren’t apparent symptoms that signal you’re losing vision, if there are a lot of them, accompanied by a sudden onset of a gray curtain in your vision field with flashing lights, you should see your doctor right away. These symptoms can signal a rather serious condition, the detachment of your retina. This happens when the layer of nerves in the backside of your eye detaches. This nerve layer is responsible for sending images to your brain, enabling you to see.
Blunt trauma, as well as conditions like diabetes and nearsightedness all increase the risk of retinal detachment. Once it happens, it should be addressed with surgery as fast as possible, as the condition can cause blindness.
That being said, if you ever experience the above-mentioned vision changes, visit your eye expert as soon as possible.
- Eye Pain
In most cases, eye diseases are painless, but there are conditions that can cause pain. Especially after suffering a serious eye injury, pain and vision changes shouldn’t be ignored and must be reported to a doctor as quickly as possible. On the other hand, other conditions like dry eyes, glaucoma, eye cancer, and a scratched cornea can all cause eye pain.
- Losing Vision in of Your Eyes
When you’re suddenly losing vision, the underlying problems can be many. For instance, sudden vision loss can be caused by AMD or age-related macular degeneration. This is the leading vision loss cause in people over the age of 65 in the country. If you’ve heard about macular degeneration already, then you know that the symptoms are gradual in most cases. However, vision loss can also happen suddenly. When the eye’s blood vessels leak blood or fluid under the retina, it can damage the nerves that enable you to see.
When there’s a rapid fluid buildup in the eye, the pressure can damage the optic nerve. Also, a type of glaucoma can also lead to sudden vision changes, i.e., vision loss. At the same time, there are several other conditions that may lead to vision loss.
- Blurry Vision
In most cases, blurry vision isn’t among the signs you’re going blind. However, in rarer cases, even when the blur clears up, it can signal several eye problems, like age-related macular degeneration, glaucoma, a torn retina, uveitis, and more. Also, losing vision in one of your eyes can signal other problems, like suffering a stroke. When vision loss happens to only one eye, it could mean that the carotid artery is blocked. The carotid artery is the largest blood supplier to the eyes, and the buildup can cut off the blood flow to the eyes.
- Eye Injury
As we’ve talked about this before, eye injuries can lead to losing vision and sudden vision changes, depending on their severity.
On that end, more significant and severe injuries to the eyes should always be checked by a professional, especially if the pain persists for more than 20 minutes and it’s accompanied by redness.
- Eye Discomfort when Wearing Contact Lenses
The majority of people who wear contacts don’t experience any problems, let alone vision loss symptoms. However, if wearers don’t follow the basics of proper lens maintenance, use, and care, they can contract serious infections. That being said, if you experience any vision loss symptoms, pain, discomfort, or redness because of wearing contacts, visit your ophthalmologist as soon as possible.
- Constant Eye Discomfort
When you are experiencing persistent discomfort in your eyes or eye, this may be due to a small particle that might have entered the eye. This can happen when you’re working with a hammer, under a car, or performing other types of work. When this happens, never ignore it and visit a doctor as quickly as you can. An expert will have to evaluate your condition and take the necessary course of action. Foreign particles in your eyes can lead to vision changes, infection, and even more severe problems down the road.
That being said, you should always wear protective eyewear while working.
- Red Eyes
When it comes to red eyes, experts will usually say that it’s better to have both eyes affected by the problem than only one. When both of your eyes are red, chances are you’re dealing with pink eye or conjunctivitis, a self-healing, minor infection. However, when only one of the eyes is read, that could be a sign of more severe inflammation, more specifically scleritis. This is a condition that happens when the outer protective area of the eye gets inflamed. Uveitis can also cause redness in one eye only. This is when the middle coating of an eyeball becomes inflamed.
- Complications from Eye Surgery
While complications following surgery are rare, they might happen. Blurry vision, redness, and eye pain after surgery should be immediately assessed by a professional.
As a matter of fact, even if these problems go away, you should still tell them about your doctor to make sure everything’s fine.
The Importance of Regular Checkups
As you can see, being regular with your eye health appointments can go a long way in preserving your vision and in catching serious problems in their earliest stages, when they are the easiest to treat.
Proper care and regular screenings are essential in keeping every aspect of your health in check. That being said, if you are looking for impeccable eye-care services, feel free to reach out to our experts.
Symptoms, Causes, Risk Factors & More
Overview
Blindness is the inability to see anything, including light.
If you’re partially blind, you have limited vision. For example, you may have blurry vision or the inability to distinguish the shapes of objects. Complete blindness means you can’t see at all.
Legal blindness refers to vision that’s highly compromised. What a person with regular vision can see from 200 feet away, a legally blind person can see from only 20 feet away.
Seek medical attention right away if you suddenly lose the ability to see. Have someone bring you to the emergency room for treatment. Don’t wait for your vision to return.
Depending on the cause of your blindness, immediate treatment may increase your chances for restoring your vision. Treatment may involve surgery or medication.
If you’re completely blind, you see nothing. If you’re partially blind, you might experience the following symptoms:
- cloudy vision
- an inability to see shapes
- seeing only shadows
- poor night vision
- tunnel vision
Symptoms of blindness in infants
Your child’s visual system begins to develop in the womb. It doesn’t fully form until about 2 years of age.
By 6 to 8 weeks of age, your baby should be able to fix their gaze on an object and follow its movement. By 4 months of age, their eyes should be properly aligned and not turned inward or outward.
The symptoms of visual impairment in young children can include:
- constant eye rubbing
- an extreme sensitivity to light
- poor focusing
- chronic eye redness
- chronic tearing from their eyes
- a white instead of black pupil
- poor visual tracking, or trouble following an object with their eyes
- abnormal eye alignment or movement after 6 months of age
The following eye diseases and conditions can cause blindness:
- Glaucoma refers to different eye conditions that can damage your optic nerve, which carries visual information from your eyes to your brain.
- Macular degeneration destroys the part of your eye that enables you to see details. It usually affects older adults.
- Cataracts cause cloudy vision. They’re more common in older people.
- A lazy eye can make it difficult to see details. It may lead to vision loss.
- Optic neuritis is inflammation that can cause temporary or permanent vision loss.
- Retinitis pigmentosa refers to damage of the retina. It leads to blindness only in rare cases.
- Tumors that affect the retina or optic nerve can also cause blindness.
Blindness is a potential complication if you have diabetes or have a stroke. Other common causes of blindness include:
- birth defects
- eye injuries
- complications from eye surgery
Causes of blindness in infants
The following conditions can impair vision or cause blindness in infants:
- infections, such as pink eye
- blocked tear ducts
- cataracts
- strabismus (crossed eyes)
- amblyopia (lazy eye)
- ptosis (droopy eyelid)
- congenital glaucoma
- retinopathy of prematurity (ROP), which occurs in premature babies when the blood vessels that supply their retina aren’t fully developed
- visual inattention, or delayed development of your child’s visual system
The following categories of people are at risk for blindness:
- people with eye diseases, such as macular degeneration and glaucoma
- people with diabetes
- people who have a stroke
- people undergoing eye surgery
- people who work with or near sharp objects or toxic chemicals
- premature babies
A thorough eye exam by an optometrist will help determine the cause of your blindness or partial loss of vision.
Your eye doctor will administer a series of tests that measure:
- the clarity of your vision
- the function of your eye muscles
- how your pupils react to light
They’ll examine the general health of your eyes using a slit lamp. It’s a low-power microscope paired with a high-intensity light.
Diagnosing blindness in infants
A pediatrician will screen your baby for eye problems shortly after birth. At 6 months of age, have an eye doctor or pediatrician check your child again for visual acuity, focus, and eye alignment.
The doctor will look at your baby’s eye structures and see whether they can follow a light or colorful object with their eyes.
Your child should be able to pay attention to visual stimuli by 6 to 8 weeks of age. If your child doesn’t react to light shining in their eyes or focus on colorful objects by 2 to 3 months of age, have their eyes examined right away.
Have your child’s eyes examined if you notice crossed eyes or any other symptoms of impaired vision.
In some cases of vision impairment, one or more of the following may help restore vision:
- eyeglasses
- contact lenses
- surgery
- medication
If you experience partial blindness that can’t be corrected, your doctor will provide guidance on how to function with limited vision. For example, you can use a magnifying glass to read, increase the text size on your computer, and use audio clocks and audiobooks.
Complete blindness requires approaching life in a new way and learning new skills. For example, you may need to learn how to:
- read Braille
- use a guide dog
- organize your home so you can easily find things and stay safe
- fold money in distinct ways to distinguish bill amounts
You can also consider getting some adaptive products, like a specialized smartphone, color identifier, and accessible cookware. There’s even adaptive sporting equipment, like sensory soccer balls.
A person’s long-term outlook for restoring vision and slowing vision loss is better when treatment is preventive and sought immediately.
Surgery can effectively treat cataracts. They don’t necessarily result in blindness. Early diagnosis and treatment are also important in cases of glaucoma and macular degeneration to help slow down or stop vision loss.
To detect eye diseases and help prevent vision loss, get regular eye examinations. If you receive a diagnosis of certain eye conditions, such as glaucoma, treatment with medication can help prevent blindness.
To help prevent vision loss, the American Optometric Association recommends you have your child’s eyes examined:
- at 6 months of age
- at 3 years of age
- every year between 6 and 17 years old
If you notice symptoms of vision loss between routine visits, make an appointment with their eye doctor immediately.
How to understand that vision is beginning to deteriorate?
Visual impairment is one of the most common problems our patients face. Many of them, at the first symptoms of visual impairment, attribute this to ordinary overwork and do not consider it necessary to visit an ophthalmologist. But in vain, because the sooner you can find the cause of vision loss, the more likely it is to stop the deterioration of vision and restore it.
Decreased vision can be dramatic – from instantaneous and appearing in just a few days, to gradual, which occurs over months, and sometimes many years. Deterioration can be observed in one eye or both at once. When vision gradually decreases in only one eye, a person may not notice this for a long time, which leads to the progression of the disease and often to irreversible changes.
5 symptoms that indicate a deterioration in vision:
The outlines of objects in front of your eyes lose their clear contour, forcing you to squint. Many patients believe that this is due to overwork, but in fact this symptom may be the first manifestation of the development of an eye disease.
Headache. This symptom is also often attributed to ordinary fatigue, although it may indicate the development of visual pathology. Typically, a headache can be caused by excessive visual stress, the lack of properly selected vision correction (glasses), and sometimes even indicate the development of other diseases, such as glaucoma.
Double vision is also a symptom that indicates visual impairment, and not just overwork. Diplopia (in common words – double vision) can occur both in one eye and in both at once. Usually, diplopia can indicate the presence of diseases such as astigmatism, disorders of the oculomotor system (strabismus), and can also be a symptom of diseases that affect the central nervous system and the eyes at the same time.
Burning sensation, sand in the eyes, sensation of the presence of a foreign body, lacrimation or, conversely, dryness. All of these symptoms are a common complaint and can occur in a wide range of ophthalmic conditions, from dry eye syndrome to severe inflammatory processes that can lead to deterioration and loss of vision.
Floating flies, spots, cobwebs before the eyes are also symptoms of visual impairment. The appearance of such flies is associated with changes in the structure of the vitreous body, which liquefies with age and does not adhere so tightly to the retina, resulting in the sensation of floating flies in the field of view.
If you notice a decrease in vision, you should immediately contact an ophthalmologist. The doctor will conduct an examination, diagnostics of vision and establish the cause of its deterioration. It is impossible to carry out an eye examination on your own, therefore we recommend contacting a specialist.
The appointment begins with a conversation with a doctor to discuss all complaints and data on the patient’s medical history and life, the second stage is all the necessary diagnostics using modern and high-precision equipment. The appointment with the doctor takes about half an hour and takes place in comfortable conditions for the patient.
We invite you to consultation with the doctors of Expert Ophthalmology Doctor of Medical Sciences Maria Znamenskaya. Ophthalmologists of the clinic will diagnose vision, establish a diagnosis and select the best method of treatment.
Sudden loss of vision – causes, examination and treatment, optometrist | Symptoms
T transient ischemic attack (transient blindness)
Signs: Blindness in one eye, usually lasting minutes to hours.
Blockage of the central retinal artery
Signs: Almost instant complete loss of vision in one eye. In patients with risk factors for atherosclerosis (high blood pressure, abnormal blood lipids or smoking).
Obstruction of the central retinal vein
Signs: In patients with risk factors for the development of the following diseases (diabetes mellitus, high blood pressure, a tendency to increased blood clotting or sickle cell anemia).
Vitreous hemorrhage
Signs: People who see flies, filaments, or cobwebs in their field of vision (floaters) or who have risk factors for vitreous hemorrhage (diabetes, retinal perforation, sickle cell anemia, or eye trauma). Usually loss of the entire field of vision (not just one or more areas).
Giant cell (temporal) arteritis (inflammation of the large arteries of the head, neck and upper body)
Signs: Sometimes headache when combing hair or pain in the jaw or tongue when chewing, pain and stiffness of the large muscles of the arms and legs (polymyalgia rheumatica).
Ischemic optic neuropathy (damage to the optic nerve due to blockage of its blood vessels)
Signs: In patients with risk factors for such diseases (diabetes or high blood pressure) or in patients who have had episodes of very low blood pressure leading to fainting.
Macular hemorrhage (due to senile macular degeneration)
Signs: Usually in patients suffering from senile macular degeneration, or in patients with risk factors for diseases of the vascular system (high blood pressure, smoking, or abnormal levels of blood lipids).
Ocular migraine (migraine that causes visual impairment)
Signs: Irregular, flickering spots that slowly move across the field of view of one eye for 10 to 20 minutes. Sometimes blurring of central vision, headache after visual impairment. Often in young patients or in patients suffering from migraines.
Retinal detachment
Signs: Sudden spontaneous flashes of light that may look like lightning, spots or stars (photopsia) that happen from time to time. Loss of vision that occurs in one area, usually in the corners of the eye (peripheral vision). Loss of vision that spreads across the field of vision like a curtain. Occasionally occurs in patients with risk factors for retinal detachment (recent eye trauma, recent eye surgery, or high myopia).
Strokes or transient ischemic attacks
Signs: Usually loss of the same parts of the visual field in both eyes. In patients with risk factors for the development of such diseases (high blood pressure, atherosclerosis, abnormal blood lipid levels and smoking). Sometimes slurred speech, impaired eye movements, muscle weakness, and/or difficulty walking.
Angle-closure glaucoma
Signs: Severe pain and redness of the eye, headache, nausea, vomiting, and increased sensitivity to light.